Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $18,197.01	Facility		$2,187.76	$2,187.76	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $15,848.93	Professional		$1,737.80	$2,187.76	$15,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $8,912.51	Facility		$1,659.59	$2,089.30	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $4,570.88	Professional		$2,187.76	$2,187.76	$4,570.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $7,413.10 / $9,772.37	Facility		$100.00	$7,413.10	$9,772.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $7,943.28 / $13,489.63	Professional		$4,073.80	$7,943.28	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $3,235.94	Facility		$1,949.84	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,235.94	Professional		$2,754.23	$2,754.23	$3,235.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,677.35 / $5,754.40	Professional		$3,388.44	$4,677.35	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $6,918.31	Professional		$2,570.40	$3,801.89	$6,918.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $19,952.62	Facility		$19,952.62	$19,952.62	$19,952.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $33,113.11 / $33,113.11	Professional		$21,379.62	$33,113.11	$33,113.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,801.89 / $5,370.32	Facility		$1,230.27	$3,801.89	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,890.45	Professional		$2,754.23	$2,754.23	$3,890.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,412.54 / $2,630.27	Facility		$120.23	$1,412.54	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,265.80	Professional		$1,698.24	$2,187.76	$4,265.80